What do you request with this form?

With this form you apply for a certificate where you prove that you are insured as an owner of a seagoing vessel or fishing boat in case of calamity.

Who can use this form?

Companies who own a seagoing vessel or fishing boat.

What are the costs for this application?

Costs apply to processing the application. You can find the recent costs on the website of the Human Environment and Transport Inspectorate (Inspectie Leefomgeving en Transport, ILT).

Which attachments do you need to add?

For every requested liability certificate you add a transcript of the agreement to provide financial security. This is the so-called ‘Blue Card’.

What happens to your application?

After the ILT receives your application the inspectorate will check the nationality of the ship. Furthermore, the ILT also checks the information on the ‘Blue Cards’. This includes information of the insurer and the dates of the insured period. You will receive an invoice after issuing your certificate.

Form instructions

• Prepare a clear photo or scan of your signature (.jpg or .png) to sign the form.
• Please complete this form in English.
• Fields marked with * are required.
• If you are not logged in to MijnILT, you can only save your progress manually. Click ‘Save’ to download a file containing your completed information. If you want to continue later, click ‘Open’ and upload this file.

Please note: if you do not use the form for more than 12 minutes, your session will time out and you will need to start again. Make sure to save the form regularly.

Publication date

26-02-2025